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CMS RVU26D · Effective 2026-10-01

97607 in Salinas

Office / nonfacility

$422.87

Base rate per service

Facility setting

$18.72

Base rate per service

Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.

Wound care

About 97607: Disposable negative pressure wound therapy

Report this service for applying disposable, nonpowered negative-pressure wound therapy to one or more wounds with a combined surface area of 50 cm² or less.

This service covers applying a disposable, nonpowered negative-pressure system to one or more wounds, with a combined treated surface area no greater than 50 cm². It may be used for wound management when negative pressure is selected to support drainage and healing, including care of chronic ulcers or postoperative wounds. The clinician applies the system and topical materials, assesses the wound, and gives instructions for continuing care; provision of the disposable equipment is included.

Select this code when the system is nonpowered and the total surface area treated during the session is 50 cm² or less. Use the related powered-equipment code when the service uses DME, or the larger-area code when nonpowered therapy covers more than 50 cm². Document the device type, wound dimensions and total area, assessment, application, and care instructions. Application, topical materials, wound assessment, and instructions are elements of this service.

Where the value comes from

  • Work RVU0.40 · 4%
  • Practice expense (office) RVU10.54 · 96%
  • Malpractice RVU0.06 · 1%

11.8K

Medicare services in 2024 · #1383 by national volume

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

97607 compared with similar codes

Office rates for Salinas, from the same CMS release.

97605

Wound therapy

DME, 50 sq cm or less

$46.26

Choose 97607 for nonpowered disposable equipment and 97605 for powered equipment supplied as DME; both cover a combined area of 50 cm² or less.

97606

Negative pressure therapy

DME, over 50 sq cm

$55.72

97606 describes powered negative-pressure therapy supplied as DME for a combined wound area greater than 50 cm². 97607 is nonpowered and limited to 50 cm² or less.

97608

Negative pressure therapy

Disposable system, over 50 sq cm

$456.31

Both describe nonpowered disposable negative-pressure therapy, but 97608 applies when the combined wound area exceeds 50 cm².

97602

Wound(s) care non-selective

No office rate

97602 is for nonselective wound care, not application of the disposable negative-pressure system and related care included in 97607.

The same code, a different location

How does Salinas compare?

In Bakersfield, the office rate for 97607 is $400.68—$22.19 lower than the $422.87 rate in Salinas. Both use the same code, release and participation basis.

97607 across payment areas

Same release and payment basis · bars start at $0

  1. Salinas · This locality

    $422.87

  2. Bakersfield

    $400.68

    $22.19 lower than Salinas

  3. Chico

    $400.50

    $22.37 lower than Salinas

  4. El Centro

    $400.51

    $22.36 lower than Salinas

  5. Fresno

    $400.50

    $22.37 lower than Salinas

  6. Hanford-Corcoran

    $400.50

    $22.37 lower than Salinas

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $431.71

    $8.84 higher than Salinas

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 97607 ranges from $316.80 in Arkansas to $523.55 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Madera

    California · 97607

    Office

    $400.50

    Facility

    $18.32

    $22.37 lower than Salinas for the office setting.

  • Merced

    California · 97607

    Office

    $400.50

    Facility

    $18.32

    $22.37 lower than Salinas for the office setting.

  • Modesto

    California · 97607

    Office

    $400.50

    Facility

    $18.32

    $22.37 lower than Salinas for the office setting.

  • Napa

    California · 97607

    Office

    $479.22

    Facility

    $19.62

    $56.35 higher than Salinas for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 97607

    Office

    $431.10

    Facility

    $18.93

    $8.23 higher than Salinas for the office setting.

  • Redding

    California · 97607

    Office

    $400.50

    Facility

    $18.32

    $22.37 lower than Salinas for the office setting.

  • Rest Of California

    California · 97607

    Office

    $400.50

    Facility

    $18.32

    $22.37 lower than Salinas for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 97607

    Office

    $401.15

    Facility

    $18.97

    $21.72 lower than Salinas for the office setting.

  • Sacramento-Roseville-Folsom

    California · 97607

    Office

    $424.34

    Facility

    $18.80

    $1.47 higher than Salinas for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 97607

    Office

    $435.89

    Facility

    $18.84

    $13.02 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 97607

    Office

    $511.93

    Facility

    $20.26

    $89.06 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 97607

    Office

    $511.87

    Facility

    $20.19

    $89.00 higher than Salinas for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 97607

    Office

    $523.55

    Facility

    $20.72

    $100.68 higher than Salinas for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 97607

    Office

    $523.28

    Facility

    $20.44

    $100.41 higher than Salinas for the office setting.

  • San Luis Obispo-Paso Robles

    California · 97607

    Office

    $415.64

    Facility

    $18.47

    $7.23 lower than Salinas for the office setting.

  • Santa Cruz-Watsonville

    California · 97607

    Office

    $442.45

    Facility

    $18.77

    $19.58 higher than Salinas for the office setting.

  • Santa Maria-Santa Barbara

    California · 97607

    Office

    $425.29

    Facility

    $18.70

    $2.42 higher than Salinas for the office setting.

  • Santa Rosa-Petaluma

    California · 97607

    Office

    $447.15

    Facility

    $18.94

    $24.28 higher than Salinas for the office setting.

  • Stockton

    California · 97607

    Office

    $400.50

    Facility

    $18.32

    $22.37 lower than Salinas for the office setting.

  • Vallejo

    California · 97607

    Office

    $479.12

    Facility

    $19.52

    $56.25 higher than Salinas for the office setting.

  • Visalia

    California · 97607

    Office

    $400.50

    Facility

    $18.32

    $22.37 lower than Salinas for the office setting.

  • Yuba City

    California · 97607

    Office

    $400.50

    Facility

    $18.32

    $22.37 lower than Salinas for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 97607

    Office

    $431.02

    Facility

    $20.25

    $8.15 higher than Salinas for the office setting.

  • Miami

    Florida · 97607

    Office

    $384.91

    Facility

    $21.91

    $37.96 lower than Salinas for the office setting.

  • Chicago

    Illinois · 97607

    Office

    $371.86

    Facility

    $21.41

    $51.01 lower than Salinas for the office setting.

  • Manhattan

    New York · 97607

    Office

    $426.47

    Facility

    $21.28

    $3.60 higher than Salinas for the office setting.

  • Alaska*

    Alaska · 97607

    Office

    $396.07

    Facility

    $24.70

    $26.80 lower than Salinas for the office setting.

  • Alabama

    Alabama · 97607

    Office

    $322.53

    Facility

    $17.42

    $100.34 lower than Salinas for the office setting.

  • Arkansas

    Arkansas · 97607

    Office

    $316.80

    Facility

    $17.26

    $106.07 lower than Salinas for the office setting.

  • Arizona

    Arizona · 97607

    Office

    $356.21

    Facility

    $18.31

    $66.66 lower than Salinas for the office setting.

  • Colorado

    Colorado · 97607

    Office

    $389.66

    Facility

    $18.64

    $33.21 lower than Salinas for the office setting.

  • Connecticut

    Connecticut · 97607

    Office

    $395.21

    Facility

    $19.65

    $27.66 lower than Salinas for the office setting.

  • Delaware

    Delaware · 97607

    Office

    $363.05

    Facility

    $18.53

    $59.82 lower than Salinas for the office setting.

  • Fort Lauderdale

    Florida · 97607

    Office

    $373.61

    Facility

    $20.37

    $49.26 lower than Salinas for the office setting.

  • Rest Of Florida

    Florida · 97607

    Office

    $352.93

    Facility

    $19.57

    $69.94 lower than Salinas for the office setting.

  • Atlanta

    Georgia · 97607

    Office

    $373.49

    Facility

    $19.20

    $49.38 lower than Salinas for the office setting.

  • Rest Of Georgia

    Georgia · 97607

    Office

    $329.77

    Facility

    $18.73

    $93.10 lower than Salinas for the office setting.

  • Hawaii, Guam

    Hawaii · 97607

    Office

    $414.80

    Facility

    $18.32

    $8.07 lower than Salinas for the office setting.

  • Iowa

    Iowa · 97607

    Office

    $336.28

    Facility

    $17.21

    $86.59 lower than Salinas for the office setting.

  • Idaho

    Idaho · 97607

    Office

    $338.19

    Facility

    $17.38

    $84.68 lower than Salinas for the office setting.

  • East St. Louis

    Illinois · 97607

    Office

    $341.28

    Facility

    $20.47

    $81.59 lower than Salinas for the office setting.

  • Rest Of Illinois

    Illinois · 97607

    Office

    $337.91

    Facility

    $19.54

    $84.96 lower than Salinas for the office setting.

  • Suburban Chicago

    Illinois · 97607

    Office

    $378.56

    Facility

    $20.44

    $44.31 lower than Salinas for the office setting.

  • Indiana

    Indiana · 97607

    Office

    $340.68

    Facility

    $17.43

    $82.19 lower than Salinas for the office setting.

  • Kansas

    Kansas · 97607

    Office

    $332.62

    Facility

    $17.39

    $90.25 lower than Salinas for the office setting.

  • Kentucky

    Kentucky · 97607

    Office

    $328.16

    Facility

    $18.16

    $94.71 lower than Salinas for the office setting.

  • New Orleans

    Louisiana · 97607

    Office

    $346.91

    Facility

    $18.78

    $75.96 lower than Salinas for the office setting.

  • Rest Of Louisiana

    Louisiana · 97607

    Office

    $326.84

    Facility

    $18.24

    $96.03 lower than Salinas for the office setting.

  • Metropolitan Boston

    Massachusetts · 97607

    Office

    $436.03

    Facility

    $19.68

    $13.16 higher than Salinas for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 97607

    Office

    $385.88

    Facility

    $18.69

    $36.99 lower than Salinas for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 97607

    Office

    $393.80

    Facility

    $19.64

    $29.07 lower than Salinas for the office setting.

  • Rest Of Maryland

    Maryland · 97607

    Office

    $371.60

    Facility

    $18.71

    $51.27 lower than Salinas for the office setting.

  • Rest Of Maine

    Maine · 97607

    Office

    $338.49

    Facility

    $17.68

    $84.38 lower than Salinas for the office setting.

  • Southern Maine

    Maine · 97607

    Office

    $363.50

    Facility

    $17.93

    $59.37 lower than Salinas for the office setting.

  • Detroit

    Michigan · 97607

    Office

    $356.46

    Facility

    $19.96

    $66.41 lower than Salinas for the office setting.

  • Rest Of Michigan

    Michigan · 97607

    Office

    $337.04

    Facility

    $18.67

    $85.83 lower than Salinas for the office setting.

  • Minnesota

    Minnesota · 97607

    Office

    $376.21

    Facility

    $17.39

    $46.66 lower than Salinas for the office setting.

  • Metropolitan Kansas City

    Missouri · 97607

    Office

    $345.89

    Facility

    $18.45

    $76.98 lower than Salinas for the office setting.

  • Metropolitan St. Louis

    Missouri · 97607

    Office

    $350.52

    Facility

    $18.55

    $72.35 lower than Salinas for the office setting.

  • Rest Of Missouri

    Missouri · 97607

    Office

    $318.78

    Facility

    $18.19

    $104.09 lower than Salinas for the office setting.

  • Mississippi

    Mississippi · 97607

    Office

    $317.95

    Facility

    $17.72

    $104.92 lower than Salinas for the office setting.

  • Montana**

    Montana · 97607

    Office

    $367.41

    Facility

    $18.70

    $55.46 lower than Salinas for the office setting.

  • North Carolina

    North Carolina · 97607

    Office

    $343.10

    Facility

    $17.76

    $79.77 lower than Salinas for the office setting.

  • North Dakota**

    North Dakota · 97607

    Office

    $366.22

    Facility

    $17.51

    $56.65 lower than Salinas for the office setting.

  • Nebraska

    Nebraska · 97607

    Office

    $339.06

    Facility

    $17.20

    $83.81 lower than Salinas for the office setting.

  • New Hampshire

    New Hampshire · 97607

    Office

    $381.59

    Facility

    $18.59

    $41.28 lower than Salinas for the office setting.

  • Northern Nj

    New Jersey · 97607

    Office

    $424.72

    Facility

    $20.22

    $1.85 higher than Salinas for the office setting.

  • Rest Of New Jersey

    New Jersey · 97607

    Office

    $400.53

    Facility

    $19.74

    $22.34 lower than Salinas for the office setting.

  • New Mexico

    New Mexico · 97607

    Office

    $338.59

    Facility

    $18.83

    $84.28 lower than Salinas for the office setting.

  • Nevada**

    Nevada · 97607

    Office

    $367.43

    Facility

    $18.37

    $55.44 lower than Salinas for the office setting.

  • Nyc Suburbs/Long Island

    New York · 97607

    Office

    $436.52

    Facility

    $21.91

    $13.65 higher than Salinas for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 97607

    Office

    $401.88

    Facility

    $20.04

    $20.99 lower than Salinas for the office setting.

  • Queens

    New York · 97607

    Office

    $433.22

    Facility

    $21.05

    $10.35 higher than Salinas for the office setting.

  • Rest Of New York

    New York · 97607

    Office

    $349.21

    Facility

    $17.94

    $73.66 lower than Salinas for the office setting.

  • Ohio

    Ohio · 97607

    Office

    $336.80

    Facility

    $18.43

    $86.07 lower than Salinas for the office setting.

  • Oklahoma

    Oklahoma · 97607

    Office

    $329.29

    Facility

    $17.90

    $93.58 lower than Salinas for the office setting.

  • Portland

    Oregon · 97607

    Office

    $406.19

    Facility

    $18.78

    $16.68 lower than Salinas for the office setting.

  • Rest Of Oregon

    Oregon · 97607

    Office

    $365.41

    Facility

    $18.10

    $57.46 lower than Salinas for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 97607

    Office

    $382.47

    Facility

    $19.47

    $40.40 lower than Salinas for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 97607

    Office

    $338.43

    Facility

    $18.32

    $84.44 lower than Salinas for the office setting.

  • Puerto Rico

    Puerto Rico · 97607

    Office

    $371.25

    Facility

    $18.71

    $51.62 lower than Salinas for the office setting.

  • Rhode Island

    Rhode Island · 97607

    Office

    $379.06

    Facility

    $18.85

    $43.81 lower than Salinas for the office setting.

  • South Carolina

    South Carolina · 97607

    Office

    $340.35

    Facility

    $18.15

    $82.52 lower than Salinas for the office setting.

  • South Dakota**

    South Dakota · 97607

    Office

    $366.08

    Facility

    $17.37

    $56.79 lower than Salinas for the office setting.

  • Tennessee

    Tennessee · 97607

    Office

    $334.45

    Facility

    $17.47

    $88.42 lower than Salinas for the office setting.

  • Austin

    Texas · 97607

    Office

    $387.63

    Facility

    $18.70

    $35.24 lower than Salinas for the office setting.

  • Beaumont

    Texas · 97607

    Office

    $335.58

    Facility

    $18.26

    $87.29 lower than Salinas for the office setting.

  • Brazoria

    Texas · 97607

    Office

    $363.91

    Facility

    $18.34

    $58.96 lower than Salinas for the office setting.

  • Dallas

    Texas · 97607

    Office

    $365.84

    Facility

    $18.53

    $57.03 lower than Salinas for the office setting.

  • Fort Worth

    Texas · 97607

    Office

    $362.34

    Facility

    $18.52

    $60.53 lower than Salinas for the office setting.

  • Galveston

    Texas · 97607

    Office

    $364.71

    Facility

    $18.44

    $58.16 lower than Salinas for the office setting.

  • Houston

    Texas · 97607

    Office

    $365.81

    Facility

    $19.54

    $57.06 lower than Salinas for the office setting.

  • Rest Of Texas

    Texas · 97607

    Office

    $349.26

    Facility

    $18.34

    $73.61 lower than Salinas for the office setting.

  • Utah

    Utah · 97607

    Office

    $346.08

    Facility

    $18.30

    $76.79 lower than Salinas for the office setting.

  • Virginia

    Virginia · 97607

    Office

    $360.84

    Facility

    $18.06

    $62.03 lower than Salinas for the office setting.

  • Virgin Islands

    United States Virgin Islands · 97607

    Office

    $371.25

    Facility

    $18.71

    $51.62 lower than Salinas for the office setting.

  • Vermont

    Vermont · 97607

    Office

    $362.90

    Facility

    $17.68

    $59.97 lower than Salinas for the office setting.

  • Rest Of Washington

    Washington · 97607

    Office

    $385.76

    Facility

    $18.58

    $37.11 lower than Salinas for the office setting.

  • Seattle (King Cnty)

    Washington · 97607

    Office

    $447.63

    Facility

    $19.76

    $24.76 higher than Salinas for the office setting.

  • Wisconsin

    Wisconsin · 97607

    Office

    $351.24

    Facility

    $17.18

    $71.63 lower than Salinas for the office setting.

  • West Virginia

    West Virginia · 97607

    Office

    $322.16

    Facility

    $19.13

    $100.71 lower than Salinas for the office setting.

  • Wyoming**

    Wyoming · 97607

    Office

    $366.89

    Facility

    $18.18

    $55.98 lower than Salinas for the office setting.

See how rates vary across the country

97607 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$316.80

$462.03

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$396.071
AL$322.531
AR$316.801
AZ$356.211
CA$400.50–$523.5529
CO$389.661
CT$395.211
DC$431.021
DE$363.051
FL$352.93–$384.913
GA$329.77–$373.492
GU$414.801
HI$414.801
IA$336.281
ID$338.191
IL$337.91–$378.564
IN$340.681
KS$332.621
KY$328.161
LA$326.84–$346.912
MA$385.88–$436.032
MD$371.60–$431.023
ME$338.49–$363.502
MI$337.04–$356.462
MN$376.211
MO$318.78–$350.523
MS$317.951
MT$367.411
NC$343.101
ND$366.221
NE$339.061
NH$381.591
NJ$400.53–$424.722
NM$338.591
NV$367.431
NY$349.21–$436.525
OH$336.801
OK$329.291
OR$365.41–$406.192
PA$338.43–$382.472
PR$371.251
RI$379.061
SC$340.351
SD$366.081
TN$334.451
TX$335.58–$387.638
UT$346.081
VA$360.84–$431.022
VI$371.251
VT$362.901
WA$385.76–$447.632
WI$351.241
WV$322.161
WY$366.891

Explore 97607 on the national rate map →

Where does this rate apply?

Salinas is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in California →

Why are the office and facility amounts different?

For 97607 in Salinas, the physician’s office rate is $422.87 and the facility-setting rate is $18.72: a difference of $404.15.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 97607 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$465.16

$422.87 × 110% = $465.16

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 97607 in Salinas.

PPRRVU2026_Oct_nonQPP.csv

12,904

Code
97607
Physician work
0.40
Practice expense
10.54
Malpractice
0.06

GPCI2026.csv

22

Locality
Salinas
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office / nonfacility calculation for 97607 in Salinas
ComponentRVULocality factorAdjusted
Physician work0.40× 1.0310.4124
Practice expense10.54× 1.15912.2159
Malpractice0.06× 0.5360.0322
Total RVUs12.6604
Conversion factor× 33.4009

Office / nonfacility rate, Salinas$422.87

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 97607 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work0.41.031
Practice expense10.541.159
Malpractice0.060.536

(0.4 × 1.031 + 10.54 × 1.159 + 0.06 × 0.536) × $33.4009 = $422.87

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work0.41.031
Practice expense0.11.159
Malpractice0.060.536

(0.4 × 1.031 + 0.1 × 1.159 + 0.06 × 0.536) × $33.4009 = $18.72

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

97607 · Office / nonfacility

$422.87

Effective 2026-10-01

The base rate is $49.11 higher than on 2025-10-01, moving from $373.76 to $422.87 (13.1%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $373.76changed to$422.87

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 0.41 changed to 0.40
    • Practice expense RVU 9.53 changed to 10.54
    • Malpractice RVU 0.05 changed to 0.06
    • Work GPCI 1.035 changed to 1.031
    • Practice expense GPCI 1.165 changed to 1.159
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $373.76

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$422.87$18.72RVU26D
2026-07-01$422.87$18.72RVU26C
2026-04-01$422.87$18.72RVU26B
2026-01-01$422.87$18.72RVU26A
2025-10-01$373.76$21.04RVU25D
2025-07-01$373.76$21.04RVU25C
2025-04-01$373.76$21.04RVU25B
2025-01-01$373.76$21.04RVU25A

97607 billing questions

How does 97607 differ from 97605?

Both cover negative-pressure wound therapy for a total wound area of 50 cm² or less. 97607 is for nonpowered disposable equipment; 97605 is for powered equipment supplied as DME.

Which code applies when the treated area is exactly 50 cm²?

For nonpowered disposable therapy, 97607 covers a combined treated area of exactly 50 cm². Use 97608 when the combined area exceeds 50 cm².

Is the code reported once for each wound?

The service is reported per session, and code selection is based on the combined surface area of the wound or wounds treated during that session.

Can the application and wound assessment be billed separately?

Application, topical materials, wound assessment, instructions for ongoing care, and provision of disposable equipment are included in this service.

What documentation supports 97607?

Record the device type, dimensions and combined area of the wounds treated, wound findings, therapy application, and instructions given for ongoing care.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.

Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.

RVUs for 97607PPRRVU2026_Oct_nonQPP.csv, line 12,904 (RVU26D)
Geographic factors for SalinasGPCI2026.csv, line 22 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet